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Organization
RUFE SNOW CLINIC INC
Active
Organization
RUFE SNOW CLINIC INC
Active
Other names
Rufe Snow Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REDA S BESTAWROUS MD (PHYSICIAN OWNER)
(817) 498-6944
Entity
Organization
Contact information
Practice address
6651 WATAUGA RD, 104, WATAUGA, TX 76148
(817) 498-6944
(817) 581-3920
Mailing address
6651 WATAUGA RD, SUITE 104, WATAUGA, TX 76148
(817) 498-6944
(817) 581-3920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K3989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89540X
BCBS
TX
Enumeration date
02/14/2008
Last updated
12/24/2008
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